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Pachydermodactyly - a report of two cases.
Zbigniew Żuber1, Grzegorz Dyduch2, Andrzej Jaworek3
1Department of Older Children with subunits of Neurology, Rheumatology and Rehabilitation, St. Louis Regional Specialised Children's Hospital, Krakow, Poland.
Reumatologia
|August 10, 2016
Summary
Pachydermodactyly (PDD) is a rare fibromatosis causing finger swelling. This report details two adolescent males diagnosed with PDD via clinical, radiological, and histopathological evaluation.
Area of Science:
- Dermatology
- Rheumatology
- Pathology
Background:
- Pachydermodactyly (PDD) is a rare, benign fibromatosis affecting digital soft tissues.
- It presents as asymptomatic, symmetric swelling of the proximal interphalangeal (PIP) joints.
- The exact cause is unknown, though it's typically acquired, affecting adolescent males.
Purpose of the Study:
- To report two cases of PDD in adolescent males.
- To highlight the diagnostic process for PDD.
- To emphasize the importance of differential diagnosis from rheumatic conditions.
Main Methods:
- Clinical examination of finger swelling.
- Radiological studies of affected joints.
- Histopathological examination of tissue samples.
Main Results:
- Two adolescent males presented with bilateral PIP joint swelling and tissue thickening.
- Diagnosis of PDD was confirmed through combined clinical, radiological, and histopathological findings.
- The condition was benign and asymptomatic.
Conclusions:
- Pachydermodactyly is a rare, benign condition requiring careful diagnosis.
- Differential diagnosis is crucial to exclude rheumatic diseases and prevent unnecessary interventions.
- Early and accurate diagnosis aids in appropriate patient management.
